St George City Football Academy 
Term 2 2024  Enrolment Form 
VENUES - PENSHURST PARK SYNTHETIC,  TODD PARK BLAKEHURST & Morris Iemma Riverwood
Term 1 Dates - 10 weeks
1 Session per week - $350 (10 sessions)
2 Sessions per week - $600 (20 sessions)
Commencing - Monday 29th April 2024
Concluding - Friday 5th July 2024
More information - 0420 347 344
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Email *
Player Surname *
Player First Name *
Date of Birth *
MM
/
DD
/
YYYY
Age Turning in 2024 *
Postcode (Home) *
Parent First Name *
Parent Surname *
Preferred Email *
Preferred Parent Mobile Number *
Current Soccer Club *
Player Age Group *
Required
Cost per term
Note:  participants may start mid term.  
Payment for mid term enrolments please calculate at $35 per week for 1 session per week and $60 per week for 2 sessions per week
 *
Required
Preferred Days *
Required
Comments
General Permission to disclose and/or publish information *
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Any Medical Conditions
Banking Details For Payment
Account Name - St George Football 
BSB - 062 189
Account Number - 1053 9613
Please use Reference - Surname and Academy
A copy of your responses will be emailed to the address you provided.
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